NPI 1164035689 · live from the CMS NPI Registry
Allergy Butler, LLC
Pharmacy, Clinic Pharmacy in Nampa, ID. National Provider Identifier 1164035689, active.
NPI record
| NPI | 1164035689 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Clinic Pharmacy 3336C0002X |
| Practice location | 1611 12th Ave Rd Ste A, Nampa, ID 83686 |
| Practice phone | 844-426-9843 |
| Mailing address | 10701 S Ozarks Dr, South Jordan, UT 84009 |
| Enumerated | August 25, 2020 |
| Last updated | August 25, 2020 |
| Authorized official | Edward Loomis, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy primary | 3336C0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.